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Get PA DoR PA-40 2012

PLEASE PRINT IN BLACK INK. ENTER ONE LETTER OR NUMBER IN EACH BOX. FILL IN OVALS COMPLETELY. Your Social Security Number Spouse s Social Security Number (if filing jointly) Extension. See the instructions. START Amended Return. See the instructions. Residency Status. Fill in only one oval. CAREFULLY PRINT YOUR SOCIAL SECURITY NUMBER(S) ABOVE Last Name R Pennsylvania Resident Suffix PLACE LABEL HERE N Nonresident Your First Name P Part-Year Resident from /2012 to /2.

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